Urban-rural differences in survival from cutaneous melanoma in Queensland

Coory, Michael, Smithers, Mark, Aitken, Joanne, Baade, Peter and Ring, Ian (2006) Urban-rural differences in survival from cutaneous melanoma in Queensland. Australian & New Zealand Journal of Public Health, 30 1: 71-74. doi:10.1111/j.1467-842X.2006.tb00089.x


Author Coory, Michael
Smithers, Mark
Aitken, Joanne
Baade, Peter
Ring, Ian
Title Urban-rural differences in survival from cutaneous melanoma in Queensland
Journal name Australian & New Zealand Journal of Public Health   Check publisher's open access policy
ISSN 1326-0200
Publication date 2006
Sub-type Article (original research)
DOI 10.1111/j.1467-842X.2006.tb00089.x
Volume 30
Issue 1
Start page 71
End page 74
Total pages 4
Place of publication Carlton, VIC
Publisher Blackwell Publishing
Language eng
Subject 321200 Public Health and Health Services
Formatted abstract
OBJECTIVE:
To assess how much of the urban-rural disparity in melanoma survival in Queensland is due to later diagnosis.

METHODS:
Data were obtained from the population-based Queensland Cancer Registry. We used incident cases for the six years 1996 to 2001 with follow-up to the end of 2002, so that all patients were followed for at least 12 months with a median follow-up time of 41 months. Cox regression models were used to compare urban versus rural case-fatality rates, after adjusting for thickness, level, subsite, age and sex.

RESULTS:
The adjusted case-fatality rate was 20% higher in rural versus urban areas (hazard ratio 1.20, 95% CI 1.02-1.43).

CONCLUSIONS:
There is some characteristic of living in an urban area, other than earlier diagnosis, that improves melanoma survival. In the first instance, differences in access to services and variation in management practices deserve investigation and exclusion.
Keyword Adolescent
Adult
Aged
Aged, 80 and over
Child
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Proportional Hazards Models
Queensland
Rural Population
Skin Neoplasms
Survivors
Urban Population
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 13 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 11 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Fri, 21 Sep 2007, 10:42:33 EST